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Professional Dental Associates P.C.

Dentist, General Practice in Walnutport, PA. Organization (NPI-2).

NPI number1265519086
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1265519086
Entity type
Organization (NPI-2)
Legal business name
Professional Dental Associates P.C.
Organization subpart
No
Enumeration date
Nov 1, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice––Yes

Practice location

433 S Best Ave
Walnutport, PA 18088-1217

Phone 610-767-0601

Mailing address

433 S Best Ave
Walnutport, PA 18088-1217

Phone 610-767-0601

Authorized official

David Matthew Wyke
Owner
6107670601

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